PLEASE READ BELOW!
Let's save time before your first session! For current safety reasons there is no option to complete in the office and must be done before your first session. If you are completing from your phone you do not need to download the app click "Sign With Mobile Browser". Know that if you are coming for marriage or couples counseling you each will need to complete your own. If you are under the age of 19 your parent will need to sign with you. Follow the tabs some are required and some are optional. At the end you will get a confirmation that your document has been sent and your welcome to download and save a copy for yourself.
Click below to begin filling out the New Patient Form and Payment Information.
(REQUIRED document New Patient Form)
Also, please complete this required form of your payment information. If you are coming for marriage/family counseling only one person will need to complete this for the family. Even if you are paying with our cash discount the form will still need to be completed.
(REQUIRED document Payment Information)
If your wanting to have anyone included in your treatment such as your primary care physician, lawyer, or family please fill out the document below.